Key result
Coronary sinus RF ablation eliminates pathway conduction in an epicardial accessory pathway.
Why the study?
The characteristics and effective ablation strategy for epicardial accessory pathways with very large atrial insertion areas are not well defined.
Population
Patient with an epicardial accessory pathway and previously failed ablation
Comparison
Radiofrequency ablation inside the coronary sinus guided by electro-anatomic mapping vs prior failed ablation
Design
Case report
Authors
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Hypothesis-generating for CS ablation of venous myocardium in large atrial accessory pathways; prospective studies needed before wider adoption.
Case Report
Radiofrequency ablation inside the coronary sinus can successfully abolish conduction in complex epicardial accessory pathways with large atrial insertions.
Guzzo et al. (2010) conducted a case report in Epicardial accessory pathway. Radiofrequency application inside the coronary sinus was evaluated on Pathway conduction. Radiofrequency application inside the coronary sinus successfully abolished pathway conduction in an epicardial accessory pathway with a large atrial insertion.
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